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General NPI Number Information
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NPI Number | 1548399462
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Entity Type | Organization
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Legal Business Name | TWO STEPS AHEAD PODIATRY, INC.
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 03/21/2018
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Provider Practice Location Address
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Address Line | 1001 E WILSON ST STE 180
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City | BATAVIA
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State | IL
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Zip | 60510-3168
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Country | US
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Telephone | 630-406-1217
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Fax | 630-406-6784
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Provider Business Mailing Address
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Address Line | 1001 E WILSON ST STE 180
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City | BATAVIA
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State | IL
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Zip | 60510-3168
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Country | US
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Telephone | 630-406-1217
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Fax | 630-406-6784
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GINA NUCCIO
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Credential | DPM
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Telephone | 630-406-1217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 016-004543
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License Number State | IL
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